Applications / Forms

To make it as easy as possible for you to do business with Distinguished, you can access and print many of our applications and forms right from our website. Simply click on the link here to get started.

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COMMUNITY ASSOCIATION PROGRAMS

Directors and Officers Liability for Community Associations
Short Form (online) or (PDF) or (Word)
Low Limits Umbrella for Community Associations ($1MM-$4MM) (online) or (PDF)
High Limits Umbrella Application ($5MM-$200MM) (online) or (PDF) or (Word)
Multi Location Addendum (PDF) or (Word)
Common Area Package Program - Residential CAPP Application (PDF) or (Word)
Common Area Package Program - Residential CAPP Application (Illinois) (PDF) or (Word)
Common Area Package Program - Commercial CAPP Application (PDF) or (Word)
Lake Supplemental Application (for Package Quote) (PDF)
Automobile Application - owned / leased autos only (PDF) or (Word)
Crime for Community Associations (online) or (PDF)

REAL ESTATE INDUSTRY PROGRAMS

Primary Property and Commercial General Liability
Building Questionnaire (Excel) or (PDF)
Underwriting Supplement (Word) or (PDF)
Commercial Building / Restaurant Exposure Application (PDF)
Vacant Land Application (PDF)
Day Care Application (PDF) or (Word)
Affordable Housing Supplemental Application (PDF) or (Word)
Automobile Application - owned / leased autos only (PDF) or (Word)
Student Housing Application (PDF)
City Homes Application (Online) or (Excel)
City Homes Supplemental Application - Suggested use - for multi-location accounts or when the Building Questionnaire has already been completed. (PDF)
New York Brick and Brownstone Building Insurance Program (online) or (Excel)
NY Anti-Arson-over 4-family only (PDF)
Independent/Senior Living Underwriting Supplement (PDF) or (Word)

Umbrella Liability
High Limits Umbrella Application (online) or (PDF) or (Word)
Multi Location Addendum (PDF) or (Word)
Day Care Application (PDF) or (Word)
Affordable Housing Supplemental Application (PDF) or (Word)
Automobile Application - owned / leased autos only (PDF) or (Word)
Student Housing Application (PDF) or (Excel)
City Homes Application (Online) or (Excel)
City Homes Supplemental Application - Suggested use - for multi-location accounts or when the Building Questionnaire has already been completed. (PDF)
Independent/Senior Living Underwriting Supplement (PDF) or (Word)
Lead Supplemental Application (PDF)

AGENCY/BROKERAGE APPOINTMENT FORMS

Producer Profile (PDF)
Brokerage Agreement (PDF)